by Deleted User 5 » 26 Apr 2007, 20:38
Everyone's pain is so different, in some respect or other, that management is probably the hardest thing to pin down. Certainly each day, say at work or school, you have to avoid the situations that require you to sit during spasms, or even drive after a BM, depending on the severity. Stress can bring on a spasm if it hasn't been too long since the BM. So you have to avoid that.
The truth is that real pain management comes with the lifestyle changes (and other conservative measures) that slowly but surely lead to less pain and hopefully healing. As Lecia stated, some find a bit of relief through analgesics. Narcotic type pain killers can be your worst enemy because of how they affect your digestive system.
When my fissure was truely active and hurting a lot, really, all *I* could do was bear it and double up on my efforts to eat right, drink water, use my nefedipine cream, take 3 warm baths a day,
and setting goals for how long I could endure the day to day misery before I caved in and had the surgery.
And try to never sit directly on you anus during the first half of the day! That was something I HAD to do to make it through the day. Pretty darn obvious, but it was my biggest defense. If I could stay off me arse, things generally weren't too bad!